Medical Radiology and Radiation Safety. 2012. Vol. 57. No. 5. P. 31-36

RADIATION MEDICINE

I.A. Galstyan, N.M. Nadejina

Local Radiation Injuries as Complications of Medical Radiation Exposure

Burnazyan Federal Medical Biophysic Center of Federal Medical Biology Agency of Russia, Moscow, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Purpose: To familiarize medical doctors with situations of diagnostic and therapeutic medical radiation exposure where the development of acute radiation injuries in patients is possible. The clinical cases are addressed to medical doctors to whom patients with complaints in connection with developing local radiation injuries (LRI) can apply.

Material and methods: The analysis of archival materials of 214 patients with the LRI which were under dynamic supervision of clinic of Burnazyan FMBC has allowed to reveal 15 patients injured with medical radiation.

Results: Descriptions of case histories for 13 out of 15 patients exposed to medical radiation concerning various neoplasms and nononcological diseases and at which LRI of the II-IV degree were developed.

Conclusions: 1. Carrying out radiation diagnostic and therapeutic procedures occasionally can become complicated by LRI development.

2. The reasons of development of radiation injuries can be: technical malfunction of the equipment, safety measures violation by personnel carrying out procedures, the specific features of the patient changing routine characteristics of exposure; the severe somatic status of the patient is the reason of more severe trophopathy of irradiated tissues.
3. In cardiological practice of the diagnostic and medical procedures which are carried out under an X-ray control, approximately 3 % of cases led to development of acute LRI. Repeated interventions possibly develop of signs of chronic radiation dermatitis.

Key words: local radiation injuries, complications of medical radiation exposure, radiation therapy, X-rays -examination

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